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屈光参差性弱视患者的球后血流参数

Retrobulbar Blood Flow Parameters in Patients With Anisometropic Amblyopia.

作者信息

Aydın Emre, Özgür Eren, İnsan Aykut, Gürün Enes

机构信息

Ophthalmology, Rize Şar Hospital, Rize, TUR.

Radiology, Istanbul Education and Research Hospital, Istanbul, TUR.

出版信息

Cureus. 2023 Feb 15;15(2):e35025. doi: 10.7759/cureus.35025. eCollection 2023 Feb.

Abstract

Introduction We aim to compare retrobulbar blood flow parameters between the amblyopic eye and the fellow eye in patients with anisometropic amblyopia. Methods Peak systolic velocity (PSV) and end-diastolic velocity (EDV) of the ophthalmic artery (OA), central retinal artery (CRA), and posterior ciliary artery (PCA) were measured by color Doppler imaging (CDI), and the resistivity index (RI) and pulsatility index (PI) were calculated in 62 patients aged 12-40 years with anisometropic amblyopia. Results The mean PSV values of OA, CRA, and PCA in amblyopic and fellow eyes were 30.38 ± 10.34, 8.45 ± 2.27, and 8.03 ± 2.77, and 33.73 ± 14.46, 8.35 ± 2.05, and 8.81 ± 2.77, respectively. The mean EDV values of OA, CRA, and PCA in amblyopic and fellow eyes were 6.86 ± 2.64, 1.47 ± 1.59, and 1.94 ± 2.03, and 8.57 ± 4.30, 1.80 ± 1.73, and 2.32 ± 1.20, respectively. The mean RI values of OA, CRA, and PCA in amblyopic and fellow eyes were 0.77 ± 0.10, 0.85 ± 0.14, and 0.78 ± 0.15, and 0.75 ± 0.07, 0.79 ± 0.20, and 0.74 ± 0.13, respectively. OA-PSV and OA-EDV values were significantly lower in the amblyopic eye than in the healthy eye (p < 0.05). OA-RI values were significantly higher (p < 0.05) in the amblyopic eye than in the healthy eye. Conclusions Considering the decrease in PSV and EDV and the increase in RI, which are the blood flow parameters of the amblyopic eye, our study may provide guidance to focus on increasing blood flow in the treatment of amblyopia.

摘要

引言 我们旨在比较屈光参差性弱视患者弱视眼与对侧眼的球后血流参数。方法 采用彩色多普勒成像(CDI)测量62例年龄在12至40岁的屈光参差性弱视患者眼动脉(OA)、视网膜中央动脉(CRA)和睫状后动脉(PCA)的收缩期峰值流速(PSV)和舒张末期流速(EDV),并计算阻力指数(RI)和搏动指数(PI)。结果 弱视眼与对侧眼的OA、CRA和PCA的平均PSV值分别为30.38±10.34、8.45±2.27和8.03±2.77,以及33.73±14.46、8.35±2.05和8.81±2.77。弱视眼与对侧眼的OA、CRA和PCA的平均EDV值分别为6.86±2.64、1.47±1.59和1.94±2.03,以及8.57±4.30、1.80±1.73和2.32±1.20。弱视眼与对侧眼的OA、CRA和PCA的平均RI值分别为0.77±0.10、0.85±0.14和0.78±0.15,以及0.75±0.07、0.79±0.20和0.74±0.13。弱视眼的OA-PSV和OA-EDV值显著低于健眼(p<0.05)。弱视眼的OA-RI值显著高于健眼(p<0.05)。结论 考虑到弱视眼血流参数PSV和EDV降低以及RI升高,我们的研究可能为弱视治疗中关注增加血流量提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e644/10022835/374ef7d52d54/cureus-0015-00000035025-i01.jpg

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